Can hemorrhoid medical insurance card be reimbursed?

Hemorrhoid medical insurance card can be reimbursed.

Hemorrhoids are covered by medical insurance. Hemorrhoids that need surgical treatment belong to the scope of medical insurance reimbursement. Generally speaking, there are two surgical methods: traditional surgery and minimally invasive surgery. Traditional surgery costs about 4 thousand yuan, and minimally invasive surgery costs about 8 thousand yuan. The specific cost also needs to be determined according to the local medical insurance department, specific hospitals, surgical methods and other factors.

The specific conditions for medical insurance reimbursement are as follows:

1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;

2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;

3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;

4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.

The settlement procedures for hospitalization and outpatient treatment of special diseases are as follows:

1. Before each month 10, the designated medical institutions will report the expense list, hospitalization list and related materials of patients discharged from the hospital last month to the medical insurance agency, which will be used as the basis for monthly pre-allocation and year-end final accounts after review;

2, medical insurance agencies monthly pre-allocated last month's hospitalization and outpatient special disease co-ordination fees;

3. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security department for medical treatment and purchase medicines, and the medical expenses incurred shall be directly accounted for and settled immediately;

4. Emergency settlement procedure: the medical expenses incurred by the insured in emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the regulations with emergency medical records, inspection, laboratory sheets, invoices and detailed list of medical expenses.

To sum up, the designated medical institutions will settle the medical expenses of patients in the last month before 10 every month, and the insured can go to the medical insurance institutions for reimbursement. The reimbursement ratio is determined according to the level of the hospital and the cost, and specific policies can be consulted with local medical institutions.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.